There is mild 2nd intermetatarsal bursal edema
No submetatarsal bursitis
No webspace mass or plantar plate tear or findings to suggest plantar plate degeneration
More proximal images do not show neuropathic muscle atrophy or edema
All I do see is thinning of the submetatarsal fat pad, deep to 2nd-4th MT heads, maybe slightly worse at the 2nd?
Remote bunionectomy and 1st MT osteotomy, 1st MT is relatively short
No stress fracture or stress reaction
I suppose fat pad atrophy is a diagnosis of exclusion….though I’m not really sure it explains her pain
I am not aware of any normative data for fat pad thickness, though I’m sure it varies by age, gender and patient size
Do you ever report this….on MRI? on US?
